Medicare Facts for Courtney Regan


National Provider Identifier [NPI]: 1205092400
Last Name Of The Provider REGAN
First Name Of The Provider COURTNEY
Middle Initial Of The Provider K
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2160 S 1ST AVE
Street Address 2 Of The Provider
City Of The Provider MAYWOOD
Zip Code Of The Provider 601533328
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Hematology/Oncology
Medicare Participation Indicator Y
Number Of HCPCS 14
Number Of Services 213
Number Of Medicare Beneficiaries 86
Total Submitted Charge Amount 64306
Total Medicare Allowed Amount 25703.99
Total Medicare Payment Amount 20026.06
Total Medicare Standardized Payment Amount 18781.22
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 14
Number Of Medical Services 213
Number Of Medicare Beneficiaries With Medical Services 86
Total Medical Submitted Charge Amount 64306
Total Medical Medicare Allowed Amount 25703.99
Total Medical Medicare Payment Amount 20026.06
Total Medical Medicare Standardized Payment Amount 18781.22
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 35
Number Of Beneficiaries Age 75 to 84 33
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 46
Number Of Male Beneficiaries 40
Number Of Non Hispanic White Beneficiaries 64
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 65
Number Of Beneficiaries With Medicare Medicaid Entitlement 21
Percent Of With Atrial Fibrillation 24
Percent Of With Alzheimers Disease or Dementia 17
Percent Of With Asthma 14
Percent Of With Cancer 34
Percent Of With Heart Failure 28
Percent Of With Chronic Kidney Disease 58
Percent Of With Chronic Obstructive Pulmonary Disease 38
Percent Of With Depression 28
Percent Of With Diabetes 47
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 55
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 49
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 2.1489

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